January 13, 2016

New CMS Rules on Exchanges: Impact on Health Plans, Providers and Brokers



HHS’s draft Notice of Benefit and Payment Parameters could reset the rules for health insurance exchanges, with major changes to plan requirements for provider network adequacy, standardized benefit designs and SHOP employee options. Will the tighter restrictions on networks and tiers make it tougher for insurers to slow rate increases? To what extent will proposed changes to risk adjustment methodology improve risk scores for plans with healthier enrollees? Will tighter standards for conduct of agents and brokers lead to more suspensions and terminations? Join three nationally recognized insurance exchange experts for a fast-paced analysis of how HHS proposes to change the rules for exchanges — and steps your organization must take to stay competitive.

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